KIT, REPAIR PARTS

TO: SK1 Corinne Janglee Voice: +1 (555) 000-0000 E-mail: contact@example.gov FROM: DATE: ADDRESS: CONTACT: _______________________________________ FAX NUMBER: __________________________PHONE: __________________________ Please provide a quotation for the following, (via fax or e-mail on this form), no later than NOV. 27TH 2017. Ref. No. 2118408B4200AL023, BY 12:00 PM EST. -Late bids will not be considered; urgent requirement -Partial shipment is encouraged and will be accepted This acquisition is __ unrestricted __x__set aside: _100__% for: small business ITEM 1 NSN: 2030-01-485-7215 DESCRIPTION: REPAIR KIT 1.875 IN PART NUMBER: FL-2605-34-2 MFG: US Coast Guard SFLC QUANTITY: 25ea. UNIT PRICE: ___________ TOTAL: ___________ DESCRIPTIVE/ SPEC DATA: REPAIR PARTS KIT FOR 1-7/8" CHAIN STOPPER. KIT TO INCLUDE ALL PARTS IN THE QUANTITIES AS REQUIRED BY DRAWING FL-2605-34 SHEET 2. STATEMENT OF WORK AND DRAWING SHEETS APPLICABLE TO THIS KIT ATTACHED. DRAWING NO: FL-2605-34 PRESERVATION, PACKING, & MARKING SHALL BE IN ACCORDANCE WITH SPECIFICATIONS: P-573-0439/ PACKAGED AND MARKED INDIVIDUALLY NOTE: All items are to be individually packed, marked and bar-coded. Please complete in full : INDIVIDUAL PACK & MARKED _____YES_____NO BAR-CODE _____YES _____NO Requested Delivery Date: 12/26/2017 PARTIAL DEIVERY DATE: ________QTY_______ Earliest/Best Delivery Date: _______________ fulfilled PAYMENT TERMS________'_________________ SMALL BUSINESS___YES __NO Payment Accepted: Gov. Purchase Card________ Purchase Order_________ TIN NO:______________________________ (Must fill in this item at all times) DUNS NO.: __________________________________(Must fill in this item at all times) ACTIVE IN SYSTEM FOR AWARD MANAGEMENT (REQUIRED FOR AWARD - SEE (www.sam.gov): _______YES ________NO GSA CONTRACT?___YES __NO (if yes, mark below) CONTRACT NUMBER: ______________________ Part covered under GSA Contract _____YES______NO_______NA Note: FOB Destination pricing is preferred, however, if item quoted is not FOB Destination quotation must include as a separate line item the following: * Estimated shipping charge: tiny_mce_marker_________ *SHIP TO: USCG SURFACE FORCES LOGISTICS CENTER RECEIVING ROOM - BUILDING 88 2401 HAWKINS POINT ROAD BALTIMORE, MD 21226 PREPARATION FOR DELIVERY All material shipped to the U.S. Coast Guard, Surface Forces Logistics Center must be accompanied by an itemized packing list securely attached to the outside of the package. All packing lists shall cite the purchase Order Number (when issued after award) with the package in such a manner as to provide identification. Material shall be packed for shipment in such a manner as to afford adequate protection to the item against corrosion, deterioration, and physical damage during shipment from the supply source to the U.S. Coast Guard, SFLC locations. Package shall also provide adequate protection for warehouse storage and multiple shipments. All packages shall have Purchase Order Number, Stock Number and Vendor name and Part Number clearly marked on the exterior of the package. All deliveries are to be made Monday through Friday between the hours of 7:00 A.M. to 1:00 P.M. *DO NOT DIRECT SHIP FREIGHT CHARGES above $250.00. Please contact the procurement official with dimensions and weight so they can arrange a carrier pick up. * BAR-CODING All bar coding required herein shall be Code 39, also called Code 3 of 9 in accordance with ANSI/AIM BC1 and MIL-STD-1189B. ALL Stock numbered items shall be bar coded. a. The standard marking required in MARKING for all packaging configurations can be applied separately or as part of the Bar-Code Label. If the latter option is used the label size shall be adjusted appropriately. b. The stock number or numbers, and purchase order/contract shall be bar-coded with Human Readable Interpretation (HRI) immediately below the bar-coding on unit and unitized packs. c. All HRI shall be placed below its associated bar-code. The label shall be intended for long-term indoor applications where the labels will endure intermittent outdoor exposure. Each label shall be for porous surfaces and consist of paper without plastic laminate. PACKAGING If requested, a list of third party packaging facilities that meet military standards for packaging & labeling can be provided. Specifications cited in this solicitation may be obtained: For Specifications from the US Government contact (a) From the ASSIST database via the Internet at http://assist.daps.dla.mil; or (b) By submitting a request to the -- DEPARTMENT OF DEFENSE SINGLE STOCK POINT (DODSSP) BUILDING 4, SECTION D 700 ROBBINS AVENUE PHILADELPHIA, PA 19111-5094 TELEPHONE: (+1 (555) 000-0000/2179 FAX: +1 (555) 000-0000 For Specifications from Commercial sources contact: American Society for Testing and Materials (ASTM) 100 Barr Harbor Drive West Conshocken, PA 19428-2959 Phone: +1 (555) 000-0000 Fax: +1 (555) 000-0000 American National Standards Institute (ANSI) 11 West 42nd Street New York, N.Y. 10036 Phone: +1 (555) 000-0000 PAYMENT INFORMATION (NON-CREDIT CARD ORDERS) All invoices must contain the following information: contract number, order number, item number, description of supplies or services, unit prices and extended totals. Prepaid shipping costs will be indicated as a separate item on the invoice (if applicable). INVOICING REQUIREMENTS (a) Invoices shall be submitted to: U.S. Coast Guard YARD/FINANCE CENTER P.O. Box 4122 Chesapeake, VA 23327-4122 E-MAIL YOUR INVOICE: contact@example.gov Fax +1 (555) 000-0000 *Copy of Invoice Required to: contact@example.gov Failure to submit your invoice directly to the above office will delay prompt payment of your invoice! In addition to the requirements of Federal Acquisition Regulation (FAR) Clause 52.212-4, the Contractor shall indicate the Taxpayers Identification Number (TIN) on any invoice submitted for payment under this purchase order.